A client shows the nurse an area of erythema, swelling, and ...

[jerry coleman]

A client shows the nurse an area of erythema, swelling, and lesions under a wedding ring. Based on this data, which condition does the nurse suspect?
 
  A) Psoriasis
  B) Allergic contact dermatitis
  C) Eczema
  D) Irritant contact dermatitis

Question 2

A nurse is planning care for a client with a contact dermatitis. When conducting discharge teaching, which statement by the nurse is appropriate?
 
  A) Bathe or shower twice daily to reduce allergen contact.
  B) Avoid the use of all lotions.
  C) When using steroid ointments, use a thick layer on dry skin for maximum absorption.
  D) Use steroid ointments for 2 to 3 weeks for best results.

[otokexnaru]

Answer to Question 1

Answer: B

Manifestations of allergic contact dermatitis include erythema, swelling, and pruritic lesions in the area of allergen contact, in this case under the client's wedding ring. Irritant contact dermatitis is an inflammation of the skin that occurs from irritants such as chemicals, soaps, and detergents. Eczema and psoriasis are secondary skin lesions that cause the skin to shed.

Answer to Question 2

Answer: D

When educating a client regarding contact dermatitis, the teaching should focus on home care instructions. The client should be told to use steroid ointments for 2 to 3 weeks for best results. The steroid ointments should be applied in a thin layer on damp skin. The client does not need to bathe or shower twice daily or avoid all lotions. Some lotions with perfumes or dyes may irritate the client's skin; however, dry skin causes itching and places the client at risk for infection from scratching.